Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Providence Health & Services - Oregon

Organization Clinic/Center · NPI 1790113405

Providence Health & Services - Oregon is a Clinic/Center in Portalnd, Oregon. Registered with an NPI since 2013.

In the registry since
2013
Specialties on file
2

Practice location Address checks out

4400 NE Halsey Bldg 2 3RD Flr
Portalnd, OR 97213
Phone: (855) 229-6460
Fax: (503) 216-0710
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X
Clinic/Center Taxonomy 261Q00000X

Record details

NPI number1790113405
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Donald Anderson — Assistant Secretary Enrollment · (425) 358-9786
Other names Providence Medical Group South; Providence Health Express Bp; Providence Health Express Bp
NPI enumeratedOctober 16, 2013
Last updated in NPPESMarch 25, 2026
Certification dateMarch 25, 2026
Mailing addressPo Box 3158, Portland, OR 97208-3158